Creating Satisfying Engagement in Daily Life Through Coaching for People With Multiple Sclerosis

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

31 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-01

Study Completion Date

2022-06-30

Brief Summary

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Multiple sclerosis (MS) is a complex disease that negatively impacts a person's ability to participate in a wide range of important and meaningful activities1-4. MS rehabilitation interventions often focus on reducing symptoms, with the assumption that fewer symptoms will lead to improved participation in daily activities5-8. Yet, literature shows that engagement in necessary and desired activities requires more than symptom reduction - it requires people with chronic diseases like MS to apply their knowledge and skills to a complex self-management process9-11 that balances personal values, and activity and environmental demands. Core self-management skills include self-monitoring, problem-solving, decision-making, goal setting, action planning, and the ability to adjust plans when necessary12. Looking beyond MS, coaching interventions have enabled people with stroke13-16, traumatic brain injury17, and Parkinson's disease18, 19 to develop self-management skills and achieve personally meaningful activity goals. Occupational Performance Coaching (OPC) is a well-developed form of coaching that builds competence in core self-management skills and improves participation in daily activities20, 21. The investigator's preliminary work indicates that OPC is an acceptable and feasible intervention for people with MS22. The investigators now must determine if OPC reduces the impact of MS on participation in daily activities and increases the satisfaction of people with MS in performance of personally important daily activities. Therefore, the investigators will conduct a waitlist-control randomized clinical trial (RCT) with 30 adults with MS to determine if receipt of six OPC sessions improves participants' satisfaction with performance in daily activities (primary outcome). The investigators will also examine whether OPC reduces illness intrusiveness (MS impact), improves resilience, and improves autonomy and participation (secondary outcomes).

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Detailed Description

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Conditions

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Multiple Sclerosis Quality of Life

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Waitlist control trial

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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OPC

Occupational Performance Coaching delivered by telephone

Group Type EXPERIMENTAL

Occupational Performance Coaching

Intervention Type BEHAVIORAL

Six sessions of OPC delivered by telephone over 10 weeks.

Waitlist control

Intervention provided after post intervention assessment

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Occupational Performance Coaching

Six sessions of OPC delivered by telephone over 10 weeks.

Intervention Type BEHAVIORAL

Other Intervention Names

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OPC

Eligibility Criteria

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Inclusion Criteria

* able to participate in coaching in English.

Exclusion Criteria

1. serious cognitive impairment as indicated by a score of 10 or more on the Short Blessed Test,
2. severe depression as measured by the PHQ-2
3. are receiving life, health or executive coaching by a certified coach

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No